Ads Healthcare LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Overland Park, KS
NPI 1649376757 · NPPES record last updated Dec 30, 2020
Key facts
- NPI
- 1649376757
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- S-046-013 (KS)
- Legal business name
- ADS HEALTHCARE LLC
- Practice address
- 6901 W 121St St
Overland Park, KS 66209-2007 - Phone
- (913) 661-1755
- Fax
- (913) 661-9260
- NPI assigned
- Sep 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Gregory J Albers, MPA
- Title
- Facility Administrator
- Phone
- (913) 661-1755
Practitioners 2
-
Timothy L Parker, MD
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Ads Healthcare LLC Dba Ads Ambulatory Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2213125 | Ads Ambulatory Surgery Center | Certificate of waiver | Feb 9, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040820000285 | KS | Part B Supplier - Ambulatory Surgical Center | 3678547288 | Practice locations: Overland Park, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | S-046-013 | KS | Yes |
Addresses
Primary practice location
6901 W 121St St
Overland Park, KS 66209-2007
Mailing address
6901 W 121St St
Overland Park, KS 66209-2007
Phone (913) 661-1755
Other names
- ADS Ambulatory Surgery Center
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.